COVID-19 Coding & Reporting Guidelines

Read Up on the Updated Coding & Reporting Guidelines for COVID-19 Code U07.1 by Ann Zeisset

YES HIM Consulting

After the Novel Coronavirus Disease, COVID-19, was labeled as a pandemic by the World Health Organization (WHO) and a national emergency in the United States in March, an off-cycle update was made to the coding system (CDC/NCHS, 2020).

Due to the urgent need to record all data of COVID-19 diagnoses, the Centers for Disease Control (CDC) moved up the effective date for the COVID-19 diagnosis code U07.1 to April 1, 2020.

The complete CDC announcement is available here. The previous article from YES HIM Consulting, “Update: New ICD-10 Code For COVID-19 Effective April 1,” provides more details about the decision.

ICD-10-CM Addenda Updates Starting April 1, 2020

The complete Index Addenda is posted to the CDC/NCHS website, including the Tabular and Index changes (CDC/NCHS, 2020).

The Tabular notes appearing with the U07.1 code provide instructions to use additional codes to identify pneumonia or other manifestations. This provides the sequencing instructions needed in coding these conditions.

COVID-19 Coding & Reporting Guidelines

Additions to the Official Coding and Reporting Guidelines were released to accompany the new code, and appear in the Chapter 1 guidelines for Infectious Disease, and Chapter 15 for Pregnancy, Childbirth and the Puerperium. The Official Coding and Reporting Guidelines are effective April 1, 2020, through September 30, 2020 (CDC/NCHS, 2020).

For more information on the new ICD-10-CM Official Coding and Reporting Guidelines for COVID-19, sign up for the COVID-19 Coding Guidelines Webinar. This webinar includes scenarios to illustrate the application of these Guidelines for COVID-19 patient encounters.

The latest announcements and coding guidelines are available on the CDC/NCHS website. Review our additional articles “New COVID-19 MS-DRG Assignment, Effective April 1” and “Selecting the Right COVID-19 Code: Should You Use CPT or HCPCS” for more information.

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